临床外科杂志 ›› 2025, Vol. 33 ›› Issue (9): 933-937.doi: 10.3969/j.issn.1005-6483.20250783

• 专家笔谈 • 上一篇    下一篇

非小细胞肺癌围术期治疗研究进展

周楚瑜 钟文昭   

  1. 510080 广东广州,南方医科大学附属广东省人民医院(广东省医学科学院)肺外科 广东省肺癌转化医学重点实验室 广东省肺癌研究所
  • 收稿日期:2025-08-05 出版日期:2025-10-16 发布日期:2025-10-16
  • 通讯作者: 钟文昭,Email:syzhongwenzhao@scut.edu.cn
  • 基金资助:
    国家卫生健康委员会“四大慢病”重大专项(2024ZD0529400)

Advances in perioperative therapy for non-small cell lung cancer

ZHOU Chuyu,ZHONG Wenzhao   

  1. Department of Pulmonary Surgery,Guangdong Provincial People's Hospital(Guangdong Academy of Medical Sciences),Southern Medical University,Guangdong Provincial Key Labratory of Translational Medicine in Lung Cancer,Guangdong Lung Cancer Institute,Guangdong 510080,China
  • Received:2025-08-05 Online:2025-09-20 Published:2025-10-16

摘要: 非小细胞肺癌(non-small cell lung cancer,NSCLC)依然是全球癌症相关死亡的首要病因。近年来,靶向治疗与免疫治疗的兴起深刻变革了NSCLC的治疗格局。随着上述治疗策略由晚期肿瘤逐步前移至早期阶段,围术期治疗已成为当前NSCLC治疗领域的研究热点。为系统探讨靶向及免疫治疗在NSCLC围术期(新辅助及辅助治疗)的应用,本文综合评述了NeoADAURA、CheckMate 816等具有里程碑意义的Ⅲ期随机对照试验的核心结果。同时,对评估围术期治疗预后的关键指标进行了简要概述与分析。基于现有证据中关于疗效及安全性的考量,本文提出个体化精准治疗将是未来优化围术期治疗策略的重要方向。

关键词: 肺癌;围术期治疗;靶向治疗;免疫治疗

Abstract: Non-small cell lung cancer(NSCLC) remains the leading cause of cancer-related mortality globally. In recent years,the advent of molecular targeted therapies and immune checkpoint inhibition has profoundly reshaped the therapeutic landscape of NSCLC. As these advanced modalities shift from treating advanced-stage disease toward earlier-stage presentations,perioperative intervention (including neoadjuvant and adjuvant therapy) has risen to the forefront of NSCLC research. To comprehensively address the integration of targeted and immunotherapeutic strategies in the perioperative management of NSCLC research,this review synthesizes the core findings from landmark phase Ⅲ randomized controlled trials such as NeoADAURA and CheckMate 816. Additionally,it presents a succinct summary and analysis of the principal prognostic endpoints used to evaluate perioperative efficacy. Drawing on current evidence related to both efficacy and safety,the review advocates for an individualized precision-oncology approach as a pivotal direction for optimizing perioperative treatment strategies in NSCLC research.

Key words: lung cancer;perioperative therapy;targeted therapy;immunotherapy

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